夫妻自我表露干预在宫颈癌化疗患者中的应用  

Application of couple self-expression intervention in cervical cancer chemotherapy patients

作　　者：刘荣华[1] 陆云[1] 鞠小梅[1] 邵佳[1] 韩凤霞[1] 宋红霞 LIU Ronghua;LU Yun;JU Xiaomei;SHAO Jia;HAN Fengxia;SONG Hongxia(Nantong Cancer Hospital,Nantong 226361,China)

机构地区：[1]江苏省南通市肿瘤医院妇科,江苏省南通市226361

出　　处：《护理实践与研究》2025年第2期213-218,共6页Nursing Practice and Research

基　　金：南通市科学技术局面上项目(编号:JC22022107)。

摘　　要：目的分析夫妻自我表露干预在宫颈癌化疗患者中的应用效果,为减轻患者癌性疼痛、心理痛苦以及提高益处发现水平提供参考依据。方法选取2022年6月—2023年5月在南通市肿瘤医院妇科进行诊治的92例宫颈癌化疗患者为研究对象,按照患者入院诊治建档时间分为对照组(2022年6—11月)和观察组(2022年12月—2023年5月),每组46例。对照组患者予以常规护理干预,观察组在对照组基础上接受夫妻自我表露干预,两组患者均干预8周。比较两组患者干预前及干预8周后癌性疼痛(疼痛数字评价量表)、心理痛苦(心理痛苦温度计)及益处发现(中文版益处发现评定量表)水平。结果干预前,两组患者疼痛数字评价量表、中文版益处发现评定量表、心理痛苦温度计评分比较差异无统计学意义(P>0.05)。干预后,观察组患者疼痛数字评价量表评分、心理痛苦温度计评分低于对照组,差异有统计学意义(P<0.05);观察组患者中文版益处发现评定量表评分高于对照组,差异有统计学意义(P<0.05)。结论在常规护理干预基础上对宫颈癌化疗患者实施夫妻自我表露干预,夫妻之间的自我表露能够促进彼此打开心扉,带来积极效应,进一步减轻患者的癌性疼痛以及心理痛苦程度,明显提高患者的益处发现水平,干预效果满意。Objective To analyse the application effect of couples'self-expression intervention in cervical cancer chemotherapy patients,to provide a reference basis for alleviating patients'cancer pain and psychological suffering and improving the level of benefit discovery.Methods Ninety-two cervical cancer chemotherapy patients treated in the Department of Gynaecology of Nantong Cancer Hospital from June 2022 to May 2023 were selected as the study objects,and divided into a control group(June to November 2022)and an observation group(December 2022 to May 2023)according to the hospitalization time,with 46 cases in each group.Patients in the control group received routine nursing interventions,and the observation group received couples'self-expression intervention based on the control group,and both groups were intervened for 8 weeks.Cancer pain(Pain Numeric Rating Scale),psychological pain(Psychological Pain Thermometer)and benefit discovery level(Chinese version of the Benefit Discovery Rating Scale)were compared between the two groups before and after 8 weeks of intervention.Results Before the intervention,there was no statistically significant difference in the comparison of the Digital Pain Rating Scale,Chinese version of the Benefit Discovery Rating Scale and psychological distress thermometer scores between the two groups(P>0.05).After the intervention,the digital pain rating scale score and psychological pain thermometer score of patients in the observation group were lower than the control group,the difference was statistically significant(P<0.05);the Chinese version of the benefit discovery rating scale score of patients in the observation group was higher than that of the control group,the difference was statistically significant(P<0.05).Conclusion The couples'self-expression intervention based on the routine nursing intervention for cervial cancer chemotherapy patients could promote the opening of each other's hearts and minds,bring positive effects,further reduce the patients'cancer pain as well as the deg

关 键 词：宫颈癌 化疗 夫妻自我表露 癌性疼痛 心理痛苦 益处发现 

分 类 号：R473.73[医药卫生—护理学]